Provider Demographics
NPI:1891463279
Name:KOWALEWSKI, BRITTNEE SUE
Entity Type:Individual
Prefix:
First Name:BRITTNEE
Middle Name:SUE
Last Name:KOWALEWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1562 30TH AVE APT 2A
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53144-3218
Mailing Address - Country:US
Mailing Address - Phone:262-902-9194
Mailing Address - Fax:
Practice Address - Street 1:1433 N WATER ST FL 4
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-2557
Practice Address - Country:US
Practice Address - Phone:262-902-9194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician